NPI 1063288686
Ketaminamd LLC
Practice location
- Address
- 930 S 4th St STE 209, Las Vegas, NV 89101-6845
- Phone
- (929) 494-1182
- Fax
- (929) 494-1182
Authorised official
- Name
- Matthew Sessa
- Title
- Authorizing Representative
- Phone
- (929) 494-1182
Registered specialties
Case Management Agency
Primary
Registry record
- NPI
- 1063288686
- Entity type
- Organization
- NPI issued
- 27 Nov 2023
- Record last updated
- 19 Jun 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.